Dynamic Risk Assessment
All behaviour has?
Meaning!
What are the 4 Questions?
- What am I feeling now?
- What does the child feel, need, want and expect?
- How is the environment affecting the situation?
- How do I best respond?
What is Summarization?
Summing up the feelings and the content.
What is a Life Space Interview?
A verbal process that helps turn crisis events into a learning experience.
A crisis occurs when....?
A child's fight, flight or freeze response is activated and they are unable to regulate their emotions and behaviours.
Running Away, Self-Harm, Destruction of Property and Withdrawal are examples of what?
Pain Based Behaviours
Fill in the blanks! How do I want this ______ to _______ in this moment.
Child, Experience
What are the 4 Non-Verbal Techniques for Active Listening?
- Silence
- Facial Expression
- Eye Contact
- Tone of Voice
Who should conduct an LSI?
A trusted adult who supported them throughout the event.
What are the goals of crisis intervention?
- provide emotional and environmental SUPPORT to reduce stress and risk and increase child's sense of safety.
- TEACH - help children learn and practice ways to regulate their emotions and behaviour.
What am I referring to when I say, "Personal Dynamic Risk Assessment?"
The Four Questions
What should you be telling yourself throughout your shift when dealing with a crisis or heightened situation with a young person?
Positive Self-Talk
Give me an example!
What are the 4 Encouraging and Eliciting Techniques?
- Minimal Encouragers
- Door Openers
- Closed Questions
- Open Questions
What are the steps to an LSI?
I - Identify (place and time to talk)
E - Explore (child's POV)
S - Summarize (feelings and content)
C - Connect (TRIGGER to FEELINGS to BEHAVIOUR)
A - Alternative Responses (to feelings)
P - Plan & Practice
E - Enter back into routine
What are the phases a person goes through in a typical crisis?
- Baseline
- Triggering Event
- Escalation
- Outburst
- Recovery
What spaces exist in the therapeutic milieu?
[SPICE]
Social
Physical
Ideological
Cultural
Emotional
What are the foundations of Intentional Use of Self?
[SASS]
- Self-Awareness
- Attunement & Relationship Skills
- Self-Regulation
- Self-Care
What is the difference between Reflective Responses and Empathic Responses?
Reflective Responses connects with the child's FEELINGS.
Empathic Responses connects with the child's EXPERIENCE.
What are the three potential pain-based responses during an LSI that we have reviewed?
- Child does not respond
- Child gets off subject
- Adult or child wants to just "fix it"
What are the three parts of the triune brain?
- Thinking Brain: Neocortex
- Emotional Brain: Limbic System
- Survival Brain: Brain Stem
What is the definition of a Setting Condition?
Anything that makes challenging behaviour or traumatic stress response more or less likely to occur.
[BRAP]
- Balance of Power- Reciprocity
- Attachment
- Progressive Complexity
What are the behaviour support techniques?
Managing the Environment
Prompting
Caring Gesture
Hurdle Help
Redirection & Distractions
Proximity
Directive Statements
Time Away
What are the goals of the LSI?
- Secure (provide sense of emotional safety)
- Clarify (help clarify events for child and adult)
- Repair & Restore (relationship between adult & child)
- Teach (help child to regulate emotions)
- Re-Enter (child back into routine)
What are the three possible outcomes in all crisis situations?
- Lower Outcome
- No Change/No Growth
- Higher Outcome